| NPI | 1295062107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 42572) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03331719) |
| 183500000X Pharmacist (Licence: IN 26024848A) | |
| Enumeration Date | 2009-11-13 |
| Last Update Date | 2025-03-23 |