| NPI | 1821329848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017026) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 17515) |
| Enumeration Date | 2010-01-15 |
| Last Update Date | 2011-02-01 |