| NPI | 1356686984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60799126) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024196A) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2020-04-25 |