| NPI | 1528447869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS t-100706) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD13054) |
| 183500000X Pharmacist (Licence: TN 39657) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2024-03-26 |