| NPI | 1043722697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AR PD14737) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0016310) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2020-12-09 |