| NPI | 1003509134 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO IN.0002009559) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CO IN.0002009559) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-15 |