| NPI | 1952773905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 50684) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023030A) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2016-03-17 |