| NPI | 1881433902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 47549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD16702) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2025-03-29 |