| NPI | 1033377189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 2636) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0008891) |
| 183500000X Pharmacist (Licence: ID P5012) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2009-08-17 |