| NPI | 1326312893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh5439) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117281) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-28 |