| NPI | 1033577929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26020318A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 014253) |
| 183500000X Pharmacist (Licence: OH 03124466) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |