| NPI | 1881909091 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS e-010304) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 18445) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |