| NPI | 1952677981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH-023622) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH023622) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-06-18 |