| NPI | 1932275831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 44144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016667A) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2015-10-29 |