| NPI | 1821328774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps35094) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45669) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2009-12-28 |