| NPI | 1003236381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KY 007449) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IN 26013274A) |
| 183500000X Pharmacist (Licence: NE 14101) | |
| 183500000X Pharmacist (Licence: CA 39176) | |
| 183500000X Pharmacist (Licence: MD 21455) | |
| 183500000X Pharmacist (Licence: AZ S019655) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |