| NPI | 1639478993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 23508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 13466) |
| 183500000X Pharmacist (Licence: IN 26022207A) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2011-03-24 |