| NPI | 1952554446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 23486) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302035192) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-12-05 |