| NPI | 1235406323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68215) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-3263) |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2024-03-25 |