| NPI | 1679061709 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26023251A) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: IN IND-904481) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |