| NPI | 1841021110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID 2971578) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 45023383A) |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-09-15 |