| NPI | 1861637183 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV nv 16291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 53564) |
| Enumeration Date | 2008-12-16 |
| Last Update Date | 2008-12-16 |