| NPI | 1871983437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 44437) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-113588) |
| 183500000X Pharmacist (Licence: WV RP0012474) | |
| 183500000X Pharmacist (Licence: OR RPH-0018534) | |
| 183500000X Pharmacist (Licence: SC 36733) | |
| 183500000X Pharmacist (Licence: NC 26030) | |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2023-02-21 |