| NPI | 1457330953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA RPH-44249) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP-036684-L) |
| 183500000X Pharmacist (Licence: HI PH-1906) | |
| 183500000X Pharmacist (Licence: VA 0202205633) | |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2007-07-08 |