| NPI | 1013058098 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-010138) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 32426) |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2008-05-01 |