| NPI | 1770179038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10133) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH029044) |
| 183500000X Pharmacist (Licence: VA 0202212932) | |
| 183500000X Pharmacist (Licence: KY 015986) | |
| Enumeration Date | 2020-12-21 |
| Last Update Date | 2020-12-21 |