| NPI | 1598022014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 68144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26024015A) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-11-21 |