| NPI | 1689971210 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0014522) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 49535) |
| 183500000X Pharmacist (Licence: OR 14522) | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2025-08-27 |