| NPI | 1073052981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2004002896) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD10332) |
| 183500000X Pharmacist (Licence: KS 13387) | |
| 183500000X Pharmacist (Licence: MS E07497) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |