| NPI | 1467768101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 3188) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH24094) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2019-08-12 |