| NPI | 1104325026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024411A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 15949) |
| 183500000X Pharmacist (Licence: MI 5302041329) | |
| 183500000X Pharmacist (Licence: TX 51251) | |
| 183500000X Pharmacist (Licence: WV RP0008471) | |
| 183500000X Pharmacist (Licence: NE 15285) | |
| 183500000X Pharmacist (Licence: MS t-14415) | |
| 183500000X Pharmacist (Licence: AZ s021080) | |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |