| NPI | 1467099986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26019884A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 14100) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2019-12-03 |