| NPI | 1821595026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 22030) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 14257) |
| 183500000X Pharmacist (Licence: GA 22382) | |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2018-04-12 |