| NPI | 1477857589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS 010796) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD11450) |
| 183500000X Pharmacist (Licence: TN 35515) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2011-01-04 |