| NPI | 1326552100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NH 04367) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NH PHCY-04367) |
| 183500000X Pharmacist (Licence: NH 033.0134787) | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2024-05-16 |