| NPI | 1386054435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016084) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024624A) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |