| NPI | 1053762096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0013538) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024430A) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-06-30 |