| NPI | 1952733628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025118A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03563600) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2013-08-05 |