| NPI | 1477298586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26029844A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 023012) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2023-11-06 |