| NPI | 1962789156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021266A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 015242) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |