| NPI | 1932478245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS29070) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0002112) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |