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 |