| NPI | 1629600291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI ph-4999) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI Ph4999) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |