| NPI | 1942464797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL ps0026959) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL ps0026959) |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2008-07-10 |