| NPI | 1184985863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S016141) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD11608) |
| 183500000X Pharmacist (Licence: MS P12007) | |
| 183500000X Pharmacist (Licence: NE 13784) | |
| 183500000X Pharmacist (Licence: OR 0012624) | |
| 183500000X Pharmacist (Licence: TN 35663) | |
| 183500000X Pharmacist (Licence: OH 03331575) | |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |