| NPI | 1174976781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 018459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026571A) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |