| NPI | 1982080966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD6686) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-6086) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2015-07-31 |