| NPI | 1356618557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16001) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26023650A) |
| 183500000X Pharmacist (Licence: IL 051298148) | |
| 183500000X Pharmacist (Licence: MI 5302043825) | |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2021-09-09 |