| NPI | 1790062453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 262024319A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051294886) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |