| NPI | 1871029827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202207010) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000024435) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |