| NPI | 1598042095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 9137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 32536) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |