| NPI | 1689284630 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017981) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-71032) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2020-08-05 |