| NPI | 1932538626 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA 017528) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 10178) |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2013-11-04 |