| NPI | 1942599931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 013969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023516A) |
| 183500000X Pharmacist (Licence: TN 0000034113) | |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |