| NPI | 1508207093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 50052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD12250) |
| 183500000X Pharmacist (Licence: AZ S019713) | |
| 183500000X Pharmacist (Licence: LA PST.020136) | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |