| NPI | 1396160982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26015251A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012085) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |