| NPI | 1083782940 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 54631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020832A) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-02-26 |