| NPI | 1841665726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IN 26026100A) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH61655171) |
| 183500000X Pharmacist (Licence: WI 22547-40) | |
| 183500000X Pharmacist (Licence: OH 03443924) | |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2025-04-01 |