| NPI | 1932270170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 0012453) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS16448) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2007-07-08 |