| NPI | 1710901947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03218110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016403A) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-11-04 |