| NPI | 1114529476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26027189A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 66049) |
| 183500000X Pharmacist (Licence: MO 2022015452) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-03-24 |