| NPI | 1093003972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-14903) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 0000041091) |
| Enumeration Date | 2011-07-13 |
| Last Update Date | 2019-05-23 |