| NPI | 1740822071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH-4764) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19723) |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2022-09-13 |