| NPI | 1811163736 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS26804) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014298a) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |