| NPI | 1457713422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025580A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03136121) |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2017-02-08 |