| NPI | 1144505710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26018272A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014235) |
| 183500000X Pharmacist (Licence: OH 03129741) | |
| Enumeration Date | 2011-10-14 |
| Last Update Date | 2011-10-14 |