| NPI | 1205297199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021949A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 012497) |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2021-08-20 |