| NPI | 1790109858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024948a) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WY 2713) |
| 183500000X Pharmacist (Licence: KY 011954) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-02-10 |