| NPI | 1851693238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 1780) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014841A) |
| 183500000X Pharmacist (Licence: TN 0000033266) | |
| Enumeration Date | 2010-11-17 |
| Last Update Date | 2010-11-17 |