| NPI | 1437673761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: MS T-15609) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027074A) |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2020-07-27 |