| NPI | 1770098287 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH027714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 16427) |
| 183500000X Pharmacist (Licence: IN 26022984A) | |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2017-12-06 |