| NPI | 1346392388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR 6309) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 9023) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2021-03-19 |