| NPI | 1306369939 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016268) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027299A) |
| 183500000X Pharmacist (Licence: KS 1-103431) | |
| 183500000X Pharmacist (Licence: MO 043715) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2022-07-21 |