| NPI | 1952608051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 9325) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND 3501) |
| 183500000X Pharmacist (Licence: IN 26091728A) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |