| NPI | 1386038321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-13638) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 38332) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-03-27 |