| NPI | 1679029326 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0016268) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T14318) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2018-09-13 |