| NPI | 1437412715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH-3943) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60193020) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-04-10 |