| NPI | 1588005987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38703) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41012) |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2013-07-13 |