| NPI | 1356883524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 018810) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026905A) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2016-11-05 |