| NPI | 1447402698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS T8445) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN C8778) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |