| NPI | 1063015709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26028959A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.292672) |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2026-08-05 |