| NPI | 1649762410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0010844) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26016139) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2018-06-06 |