| NPI | 1962113167 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023700A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS53949) |
| 183500000X Pharmacist (Licence: IL 051294264) | |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-05-23 |