| NPI | 1659691244 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 12586) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 024985) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2010-06-04 |