| NPI | 1831322395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007105) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 34766) |
| 183500000X Pharmacist (Licence: IL 051.288202) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |