| NPI | 1760823504 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD07253) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 7486) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2013-07-09 |