| NPI | 1659799856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 019120) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT 10684) |
| 183500000X Pharmacist (Licence: IN 26021146a) | |
| 183500000X Pharmacist (Licence: MA 232798) | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2014-04-03 |