| NPI | 1932138591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 20338) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0012102) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2011-06-18 |