| NPI | 1821482290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP443522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RPI008184) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |