| NPI | 1356914600 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26029326A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD 6862) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |