| NPI | 1346563228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO PHA.0020456) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0011220) |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2018-04-11 |