| NPI | 1659807493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26019040) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 49478) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2022-02-14 |