| NPI | 1801179718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26019589A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS43006) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |