| NPI | 1285055814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26016152A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 010346) |
| 183500000X Pharmacist (Licence: OH 03119201) | |
| Enumeration Date | 2013-12-28 |
| Last Update Date | 2013-12-28 |