| NPI | 1760863492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26025938A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL 51842) |
| 183500000X Pharmacist (Licence: MD 23262) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2019-08-02 |