| NPI | 1982663852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 14110) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: HI PH-4331) |
| 183500000X Pharmacist (Licence: NE 12281) | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2024-12-23 |