| NPI | 1780986141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017907) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13386) |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |