| NPI | 1073278479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH-3797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 13756) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2021-11-01 |