| NPI | 1295027902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 19097) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA RPH65893) |
| 146N00000X Emergency Medical Technician, Basic (Licence: NM 13000504) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: NV 75598) | |
| 146N00000X Emergency Medical Technician, Basic (Licence: NV E3100640) | |
| 183500000X Pharmacist (Licence: NM RP00007776) | |
| 183500000X Pharmacist (Licence: IL 051.294981) | |
| 183500000X Pharmacist (Licence: AZ S021139) | |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2022-06-08 |