| NPI | 1720317233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42282) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA rph024010) |
| Enumeration Date | 2009-12-11 |
| Last Update Date | 2009-12-11 |