| NPI | 1538495619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S006685) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26012769A) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |