| NPI | 1922240571 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 13186) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 5942) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2016-11-01 |