| NPI | 1881977981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD09932) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 30041) |
| Enumeration Date | 2011-09-25 |
| Last Update Date | 2011-09-25 |