| NPI | 1528498870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26020322a) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0010215) |
| 183500000X Pharmacist (Licence: WA ph00063833) | |
| Enumeration Date | 2013-11-23 |
| Last Update Date | 2013-11-23 |