| NPI | 1326309303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302026101) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023065A) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |