| NPI | 1114773116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 16786) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T-101121) |
| 183500000X Pharmacist (Licence: TN 47074) | |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |