| NPI | 1225259492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS38195) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 11353) |
| 183500000X Pharmacist (Licence: MA 19136) | |
| 183500000X Pharmacist (Licence: NH 2409) | |
| 183500000X Pharmacist (Licence: VA 0202209065) | |
| 183500000X Pharmacist (Licence: NE 12835) | |
| 183500000X Pharmacist (Licence: LA 18303) | |
| 183500000X Pharmacist (Licence: KY 013632) | |
| 183500000X Pharmacist (Licence: AZ S018260) | |
| 183500000X Pharmacist (Licence: AR PD09048) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2017-02-27 |