| NPI | 1881970978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11220) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 9832) |
| 183500000X Pharmacist (Licence: AR pd08949) | |
| 183500000X Pharmacist (Licence: MO 2000150090) | |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |