| NPI | 1295191633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA Rph016329) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 34569) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |