| NPI | 1730463332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD09820) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11706) |
| Enumeration Date | 2011-10-01 |
| Last Update Date | 2016-06-08 |