| NPI | 1477043545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000041475) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 118674) |
| 183500000X Pharmacist (Licence: SD R5689) | |
| 183500000X Pharmacist (Licence: ND RPH4896) | |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |