| NPI | 1689277477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DC PH100003718) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202222112) |
| 183500000X Pharmacist (Licence: MD 29874) | |
| Enumeration Date | 2020-11-16 |
| Last Update Date | 2025-03-23 |