| NPI | 1578038840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023728A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47369) |
| Enumeration Date | 2018-10-12 |
| Last Update Date | 2020-01-08 |