| NPI | 1063758084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021170A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295540) |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2020-05-18 |