| NPI | 1376950998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 4027) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: MT 4027) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |