| NPI | 1780131730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH3030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444071) |
| 183500000X Pharmacist (Licence: AZ s016365) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |