| NPI | 1346591377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26022596A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-09720) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |