| NPI | 1467997460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 24609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100002929) |
| 183500000X Pharmacist (Licence: VA 0202215428) | |
| 183500000X Pharmacist (Licence: TN 40456) | |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2017-07-26 |