| NPI | 1033626783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03237052) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027315A) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2022-10-20 |