| NPI | 1811398407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH200004481) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025760A) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2023-04-21 |