| NPI | 1255920609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 020741) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-16090) |
| 183500000X Pharmacist (Licence: TN 43518) | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2021-01-11 |