| NPI | 1497188874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025670A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03232723) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2026-06-16 |