| NPI | 1437558392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21156) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202211913) |
| 183500000X Pharmacist (Licence: DC PH100001463) | |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-08-16 |