| NPI | 1508461906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26022672A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 17669) |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |