| NPI | 1326321811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 015052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023978A) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |