| NPI | 1265817696 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: IN 26023176A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023176A) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: IN 26023176A) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: IN 26023176A) | |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2022-03-01 |