| NPI | 1881959815 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-6151) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 7877) |
| 183500000X Pharmacist (Licence: IN 26020703A) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |