| NPI | 1528406857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3857) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 0.330089751) |
| Enumeration Date | 2013-06-09 |
| Last Update Date | 2013-06-09 |