| NPI | 1659091932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26029705A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2022024474) |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |