| NPI | 1164617817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 14941-040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26022406A) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-01-27 |