| NPI | 1548694086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024275A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03221030) |
| Enumeration Date | 2013-08-31 |
| Last Update Date | 2013-08-31 |