| NPI | 1821373218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 5555) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26021347a) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2019-07-15 |