| NPI | 1043365828 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ SO16944) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-040252) |
| 183500000X Pharmacist (Licence: TX 32145) | |
| 183500000X Pharmacist (Licence: NJ 23605) | |
| 183500000X Pharmacist (Licence: GA 017148) | |
| 183500000X Pharmacist (Licence: FL PS 31216) | |
| 183500000X Pharmacist (Licence: LA 16832) | |
| 183500000X Pharmacist (Licence: GA RPH017148) | |
| 183500000X Pharmacist (Licence: FL PU8521) | |
| 183500000X Pharmacist (Licence: IL 051040252) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2021-06-29 |