| NPI | 1033547948 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD06819) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR C06819) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2015-03-27 |