| NPI | 1144592932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021821A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.291013) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-02-15 |