| NPI | 1033525613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 17631) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025069A) |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |