| NPI | 1932451911 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 9566) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26014178A) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2012-10-15 |