| NPI | 1932483138 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 014308) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26091868A) |
| 183500000X Pharmacist (Licence: IA 14388) | |
| Enumeration Date | 2011-10-06 |
| Last Update Date | 2011-10-06 |