| NPI | 1831805738 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 016081) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025459A) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |