| NPI | 1699968099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH022467) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 21933) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |