| NPI | 1891022398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010443) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S012454) |
| 183500000X Pharmacist (Licence: WA PH00059072) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |