| 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 |