| NPI | 1376944058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-10193) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020298A) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |