| NPI | 1306212725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202214483) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100002053) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-10-14 |