| NPI | 1164410205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26020296) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN C-4968) |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-08 |