| NPI | 1063758910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26017674A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH026438) |
| 183500000X Pharmacist (Licence: MN 120729) | |
| Enumeration Date | 2012-12-21 |
| Last Update Date | 2012-12-21 |