| NPI | 1700285715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 39771) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 017299) |
| 183500000X Pharmacist (Licence: IN 26025641A) | |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2022-12-22 |