| NPI | 1639428774 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 22679) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 13807) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2016-08-16 |