| NPI | 1144593427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL TRN35206) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS47276) |
| 183500000X Pharmacist (Licence: TX 49752) | |
| 183500000X Pharmacist (Licence: WI 15722-40) | |
| 183500000X Pharmacist (Licence: AL 18530) | |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2022-06-14 |