| NPI | 1174964043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3897) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH234581) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2013-07-16 |