| NPI | 1518246834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202211251) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 35812) |
| 183500000X Pharmacist (Licence: AR PD11701) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2013-02-27 |