| NPI | 1487992442 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS48972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-3385) |
| Enumeration Date | 2013-01-27 |
| Last Update Date | 2020-11-24 |