| NPI | 1093056533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44974) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022307A) |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2013-03-08 |