| NPI | 1942878392 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 45106) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-16635) |
| Enumeration Date | 2021-06-14 |
| Last Update Date | 2021-06-14 |