| NPI | 1609463975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26024212A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302040873) |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |