| NPI | 1659755726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26030106A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03707000) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2025-11-03 |