| NPI | 1619257201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023257A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202209680) |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2024-06-04 |