| NPI | 1154965200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26027687A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 019997) |
| 183500000X Pharmacist (Licence: OH 03438576) | |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |