| NPI | 1972851590 |
|---|---|
| Former Name | VENKATA NAGA AMAR PADMANABHONI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004128) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 16816) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2016-05-19 |