| NPI | 1750776464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 41554) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026116A) |
| 183500000X Pharmacist (Licence: NC 26010) | |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2018-09-28 |