| NPI | 1558761718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025565A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH74567) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2025-02-27 |