| NPI | 1073878401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024613A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016152) |
| 183500000X Pharmacist (Licence: OH 03132502) | |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2013-01-15 |