| NPI | 1649566266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 31079) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E010331) |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2011-06-22 |