| NPI | 1134400898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH023799) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020266A) |
| 183500000X Pharmacist (Licence: NY 049263) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |