Leadership Team

Meet the Pharma Pac leadership team. Always dedicated to your success, and helping you optimize the outcomes of your patients. We look forward to working with you!

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David Hughes

Multifaceted Healthcare Executive with a unique mix of strategic business experience, clinical background, Ivy League Medical School faculty appointment, and exceptional educational credentials. Experienced in all areas of pharmaceuticals, healthcare management, DEA/State regulations, and compliance. Experienced in building, maintaining, and leveraging relationships with key opinion leaders.


AJ Rastogi, MD

AJ Rastogi, MD is the CEO and Co-Founder of North American Spine & Pain Consultants.

Dr. Rastogi enjoys not just the art and the science of practicing pain management but also considered the field a perfect fit for him early in his medical career. To him, it embodies the essence of being a doctor to take away the pain. He also understands the importance of multi-modal therapy in treating all aspects of pain: physical and emotional.

Aside from his current focus is on advancing the state of the interventional spine by investigating innovative new treatment options, Dr. Rastogi has completed multiple studies evaluating cutting-edge minimally-invasive spinal procedures.

Dr. Rastogi also completed research at The University of Virginia on the analgesic effects of anticonvulsants. He authored many chapters concerning interventional spine procedures for professional textbooks.

Dr. Rastogi is also the national fellowship course director for multiple companies involved in developing emerging spine technology. He has trained over 400 physicians from both the US and internationally on a variety of interventional techniques.

Dr. Rastogi received his MD from the University of Virginia and completed his residency and fellowship in pain management at the University of Pennsylvania.


Dr. Naiyer Imam, MD MSc

Naiyer is President and CEO of the First Medicine Corporation, and is responsible for the company's direction, including forming strategic relationships and acquisitions. A pioneer in the field of telemedicine, he served as Chairman and Founder of American Teleradiology, which merged with Nighthawk and went public in 2006 (NSDQ: NHWK). He holds a BS in Mathematics and Computer Science from Brown, as well as an MD from Brown and an MS in Biostatistics from Harvard. Naiyer is resident in the US and divides his time between the US and the First FM support and development center in India.


 Carey James Kriz

Carey is the Chairman of First Medicine Global Holdings LLC, which leads the growth of the non-US operations of First Medicine, including in the markets of Asia, the Middle East and Europe. His career spans fundamental research and development in computer technologies, medicine and clinical services through tenures at IBM, to Johns Hopkins and in support of a range of start-ups. Carey was the founder/designer of Johns Hopkins International, among other ventures. Carey studied a combination of Economics and Computer Science at the University of Rochester and the University of Maryland/College Park. Carey is a US citizen but splits his time between the US, UK, MENA, Central Europe and Asia.


Dr. Rajnikant (Raj) Shah, MD MBA FACC FACP

Dr. Raj Shah is a practicing cardiologist, philanthropist and entrepreneur based in Philadelphia. educated at the University of Pennsylvania and an Associate Professor of Clinical Medicine on the Temple and Drexel University faculties. He is a pioneer in the field of telemedicine and the creator of the SmartCareDoc telemedicine system which was deployed at “The Clinic at Wal-Mart” in 2012-14: The first telemedicine clinic in retail stores in America. He established a TeleRetinopathy screening program at the Temple University Health System in 2016 and a teaching Teleclinic at the School of Nursing at Rutgers University. He is also a Research Fellow at the Blanche and Irwin Lerner Center at Rutgers University for the study of Pharmaceutical Management and Healthcare and lectures about Telemedicine. He is a member of the Advisory Board of Kean University College of Business and Public Management and Global Business School, a Trustee of S.M. Shah Law College, and Sarvajanik School in India.

Dr. Shah is board certified in internal medicine, cardiology, echocardiography, nuclear cardiology, and cardiac CT angiography. He is a fellow of the American College of Cardiology, the American Heart Association, and the American College of Physicians. He received his medical degree with distinction from the M.S. University in Baroda, India, and graduate training in internal medicine and cardiology at the University of Pennsylvania. Dr. Shah received a Master of Business Administration with Phi Kappa Phi and Beta Gamma Sigma honors in 1997.