| NPI | 1659729234 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0015809) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P7698) |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2017-02-08 |