| NPI | 1275081382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 15236) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 010053) |
| 183500000X Pharmacist (Licence: SC 13997) | |
| 183500000X Pharmacist (Licence: TX 58059) | |
| 183500000X Pharmacist (Licence: FL PS42136) | |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2016-09-18 |