| NPI | 1568113835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 36265) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-010398) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2022-01-18 |