| NPI | 1568120210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0015174) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-25445) |
| 183500000X Pharmacist (Licence: WY 3920) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |