| NPI | 1033947452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 033.0135420) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: IN 26031858A) |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2026-08-13 |