| NPI | 1497193833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 20222) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100001116) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |