| NPI | 1770925026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: IN 26023101A) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: IN 26023101A) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2023-02-11 |