| NPI | 1487253159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018120) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0018120) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2023-06-22 |