| NPI | 1205953155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007739) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 015439) |
| 183500000X Pharmacist (Licence: IN 26014461A) | |
| 183500000X Pharmacist (Licence: GA RPH015439) | |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2015-06-17 |