| NPI | 1801688460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26030018A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KY 023628) |
| Enumeration Date | 2025-05-20 |
| Last Update Date | 2025-06-23 |