| NPI | 1629956172 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26031319A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302417195) |
| Enumeration Date | 2025-08-23 |
| Last Update Date | 2025-08-23 |