| NPI | 1952687352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024238A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.296539) |
| Enumeration Date | 2011-10-29 |
| Last Update Date | 2022-12-19 |