| NPI | 1225860935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26030949A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03444589) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |