NPI | 1699506360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835E0208X Pharmacist, Emergency Medicine (Licence: IN 26030785A) |
Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26030785A) |
1835E0208X Pharmacist, Emergency Medicine (Licence: KY 024675) | |
Enumeration Date | 2024-08-13 |
Last Update Date | 2025-06-03 |