| NPI | 1306120118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26022000A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 013428) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2016-12-30 |