| NPI | 1720312093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202012763) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000016) |
| Enumeration Date | 2009-09-19 |
| Last Update Date | 2009-09-19 |