| NPI | 1689018897 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH026487) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS48511) |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2013-04-18 |