| NPI | 1134715188 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 019272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027490A) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |