| NPI | 1750667655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26021197A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03230808) |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2026-05-22 |