| NPI | 1790061711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26020008a) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051288799) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |