| NPI | 1972148427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OR RPH-0017527) |
| Additional Taxonomies | 1835X0200X Pharmacist, Oncology (Licence: OR RPH-0017527) |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2024-08-20 |