| NPI | 1316694771 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26029603A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03234046) |
| Enumeration Date | 2022-03-06 |
| Last Update Date | 2022-11-01 |