| NPI | 1417265646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S010170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26013258A) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2010-09-22 |