| NPI | 1699002857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017765) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007354) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-08-18 |