| NPI | 1710257761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26017011A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 26091) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-01-09 |