| NPI | 1831578731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD08963) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 12334) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |