| NPI | 1083101919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 39434) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-13985) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2018-04-17 |