| NPI | 1003135096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020112a) |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2024-03-21 |