| NPI | 1932489473 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS43776) |
| Additional Taxonomies | 246QM0706X Spec/Tech, Pathology, Medical Technologist (Licence: FL TN34594) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |