| NPI | 1649043936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 47742) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 101437) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-05-10 |