| NPI | 1821327057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 9065) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD07681) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2017-03-23 |