| NPI | 1902233166 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 54032) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI 3546) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |