| NPI | 1467869636 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH027808) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 38386) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |