| NPI | 1326325226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47586) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202213737) |
| 183500000X Pharmacist (Licence: GA RPH028396) | |
| 183500000X Pharmacist (Licence: AR PD12934) | |
| 183500000X Pharmacist (Licence: MI 5302043851) | |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2015-10-01 |