| NPI | 1619570538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0018520) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P9024) |
| Enumeration Date | 2020-11-21 |
| Last Update Date | 2023-06-26 |