| NPI | 1225460074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26015873A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.033220) |
| Enumeration Date | 2013-08-04 |
| Last Update Date | 2013-08-04 |