| NPI | 1831889997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0020495) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 23593) |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2026-04-01 |