| NPI | 1255644639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 6099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014686A) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2012-12-04 |