| NPI | 1487079703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03221581) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26018399A) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |