| NPI | 1932430618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s014924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 58240) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |