| NPI | 1003402744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024360A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.295263) |
| 183500000X Pharmacist (Licence: MO 2012029726) | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2020-12-16 |