| NPI | 1720307937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS26421) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025303) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2010-05-27 |