| NPI | 1396727384 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH-2311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 50922) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2018-10-01 |