| NPI | 1861126526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS65714) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26029743A) |
| Enumeration Date | 2022-07-10 |
| Last Update Date | 2023-09-28 |