| NPI | 1407309172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135925-1) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026794A) |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-08-31 |