| NPI | 1558402073 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26022241A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 12150) |
| 183500000X Pharmacist (Licence: IL 51291460) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-09 |