| NPI | 1912348608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD12349) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15645) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2015-08-13 |