| NPI | 1619240611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26012058A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051027105) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |