| NPI | 1841746096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 45397) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 24391) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2021-09-23 |