| NPI | 1588920797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024087A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO 19465) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2013-10-23 |