| NPI | 1932413036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 17494) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26020038A) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |