| NPI | 1194074799 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0011793) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011793) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2024-03-04 |