| NPI | 1952739492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR 0014061) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26025366A) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2022-12-23 |