| NPI | 1083233738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36137) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD14039) |
| 183500000X Pharmacist (Licence: MO 2017026043) | |
| 183500000X Pharmacist (Licence: MS T-15062) | |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |