| NPI | 1215525605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26026304a) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 018038) |
| 183500000X Pharmacist (Licence: IL 051.302967) | |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2021-01-02 |