| NPI | 1497031330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023562A) |
| 183500000X Pharmacist (Licence: FL PS46202) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |