| NPI | 1760852370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist Geriatric (Licence: IN 26025300A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025300A) |
| 183500000X Pharmacist (Licence: MS T-14032) | |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2022-05-03 |