| NPI | 1871574087 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0014578) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P4996) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2020-04-15 |