| NPI | 1528481504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000036092) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021850A) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |