| NPI | 1841515442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 11336) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 33194) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |