| NPI | 1255809844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26026809A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.300016) |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2018-11-13 |