| NPI | 1831550938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0014879) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-4380) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2019-01-12 |