| NPI | 1881927069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s023937) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0010918) |
| 183500000X Pharmacist (Licence: NM RP00006896) | |
| Enumeration Date | 2009-09-06 |
| Last Update Date | 2020-11-23 |