| NPI | 1942555792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024663A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 016165) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2017-02-15 |