| NPI | 1548032063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26031010A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 73424) |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2024-10-03 |