| NPI | 1134719412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26030132A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 64794) |
| 183500000X Pharmacist (Licence: OK 18730) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2025-01-23 |