| NPI | 1366799264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024741A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28RI03545200) |
| 183500000X Pharmacist (Licence: KY 016231) | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2023-10-18 |