| NPI | 1134423528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 10547) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 27756) |
| 183500000X Pharmacist (Licence: MO 2010038516) | |
| 183500000X Pharmacist (Licence: NV 17848) | |
| 183500000X Pharmacist (Licence: KS 1-14985) | |
| 183500000X Pharmacist (Licence: VA 0202210139) | |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |