| NPI | 1356697163 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36540) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD12006) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2012-07-30 |