| NPI | 1730474610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03325512) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020801A) |
| Enumeration Date | 2011-06-18 |
| Last Update Date | 2011-06-18 |