| NPI | 1144582545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 13960) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 22453) |
| 183500000X Pharmacist (Licence: AZ 15918) | |
| 183500000X Pharmacist (Licence: NE 12143) | |
| 183500000X Pharmacist (Licence: MS T-12306) | |
| 183500000X Pharmacist (Licence: KY 14159) | |
| 183500000X Pharmacist (Licence: OR 11724) | |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |