| NPI | 1366057952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY I13205) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 45020588A) |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |