| NPI | 1548530934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16140-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 120559) |
| 183500000X Pharmacist (Licence: MT 6295) | |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2012-01-03 |