| NPI | 1235480906 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024474A) | 
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302412281) | 
| 183500000X Pharmacist (Licence: IL 051295692) | |
| Enumeration Date | 2012-09-21 | 
| Last Update Date | 2020-04-10 |