| NPI | 1770956609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 16181) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD13329) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2015-10-30 |