| NPI | 1952883001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV RP0010559) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 40577) |
| 183500000X Pharmacist (Licence: IN 26026568A) | |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |