| NPI | 1649659939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 122153) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024323A) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |