| NPI | 1861715203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 11584) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 08196) |
| 183500000X Pharmacist (Licence: FL PS41085) | |
| 183500000X Pharmacist (Licence: KS 1-13604) | |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |