| NPI | 1326380742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202210769) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001032) |
| Enumeration Date | 2013-03-24 |
| Last Update Date | 2013-03-24 |