| NPI | 1962788349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023534A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302032182) |
| 183500000X Pharmacist (Licence: VA 0202206089) | |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2011-10-29 |