| NPI | 1891233060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E7804) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 7595) |
| 183500000X Pharmacist (Licence: TN 7754) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2020-12-30 |