| NPI | 1821371840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 65284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-3136) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2012-03-15 |