| NPI | 1083840425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: TN 6153969) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WA PH60661034) |
| 183500000X Pharmacist (Licence: AK 117751) | |
| 183500000X Pharmacist (Licence: TN 44702) | |
| 183500000X Pharmacist (Licence: OK R-16138) | |
| 183500000X Pharmacist (Licence: AR PD13265) | |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2024-07-26 |