| NPI | 1265026728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26029067A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051302873) |
| 183500000X Pharmacist (Licence: OH 03440404) | |
| 183500000X Pharmacist (Licence: MO 2020033888) | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2021-02-25 |