| NPI | 1750728291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-11746) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 38066) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2020-10-28 |