| NPI | 1265831291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010379) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0020548) |
| 183500000X Pharmacist (Licence: NE 10862) | |
| 183500000X Pharmacist (Licence: MO 044260) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2018-05-23 |