| NPI | 1083250278 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03440067) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027721A) |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2021-10-26 |