| NPI | 1821373119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021583A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 15774) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2011-10-18 |