| NPI | 1265755342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 20908) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26012569) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2010-03-03 |