| NPI | 1043866601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023879A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.294778) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |