| NPI | 1710295258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR 042208) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 13610) |
| 183500000X Pharmacist (Licence: LA 10409) | |
| 183500000X Pharmacist (Licence: GA 019726) | |
| 183500000X Pharmacist (Licence: MS e-05812) | |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |