| NPI | 1033542147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC PH.14325 PH) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH027380) |
| Enumeration Date | 2013-08-12 |
| Last Update Date | 2013-08-18 |