| NPI | 1457670325 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26012530A) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: IN 26012530A) |
| Enumeration Date | 2010-05-18 |
| Last Update Date | 2014-07-22 |