| NPI | 1730370867 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302022275) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 010492) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |