| NPI | 1821312588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024390A) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2012-03-29 |