| NPI | 1093095259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0016701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH025976) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2023-06-05 |