| NPI | 1669533816 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 010242) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph020886) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2007-07-08 |