| NPI | 1609144609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-09225) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 10911) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |