| NPI | 1871506956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26020721A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 009489) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |