| NPI | 1891982666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202216425) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS40386) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2018-11-08 |