| NPI | 1588945588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP035109L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI002114) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |