| NPI | 1831483049 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023672A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015060) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |