| NPI | 1396555207 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0020291) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP458852) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-01-13 |