| NPI | 1861867558 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: HI PH-3930) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: HI PH-3930) |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2025-02-05 |