| NPI | 1013410869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: IN 02008455A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026101A) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2025-06-04 |