| NPI | 1073458600 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26018264A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051300307) |
| 183500000X Pharmacist (Licence: KS 1-125080) | |
| 183500000X Pharmacist (Licence: KY 019525) | |
| 183500000X Pharmacist (Licence: OH 03236844) | |
| Enumeration Date | 2026-04-21 |
| Last Update Date | 2026-04-21 |