| NPI | 1295163434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 37813) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P13136) |
| Enumeration Date | 2013-10-25 |
| Last Update Date | 2013-10-25 |