| NPI | 1235313214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR rph-0011117) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 1736) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2020-04-28 |