| NPI | 1518446046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302415097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26027799A) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2023-07-27 |