| NPI | 1689840134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 10862) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 13424) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |