| NPI | 1841584927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10297) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 11778) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |