| NPI | 1750918637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26028777A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03438650) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2025-06-27 |