| NPI | 1326447285 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38536) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS P13616) |
| Enumeration Date | 2014-08-17 |
| Last Update Date | 2014-08-17 |