| NPI | 1841564093 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-10162) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11330) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |