| NPI | 1598274276 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OH 03135455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26026812A) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-07-21 |