| NPI | 1093283764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 37634) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-39589) |
| 183500000X Pharmacist (Licence: KY 019562) | |
| 183500000X Pharmacist (Licence: DC PH100002786) | |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |