| NPI | 1306906672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26021035A) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MI 5302028422) |
| Enumeration Date | 2006-12-09 |
| Last Update Date | 2007-07-08 |