| NPI | 1891134045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006031382) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps41707) |
| 183500000X Pharmacist (Licence: IL 051293266) | |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |