| NPI | 1295330116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26028845A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021412) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |