| NPI | 1578176913 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 0000044324) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 021578) |
| 183500000X Pharmacist (Licence: IN 2602887A) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2023-11-27 |