| NPI | 1780215608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26030527A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 72784) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2023-09-26 |