| NPI | 1336339563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 33488) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 021469) |
| 183500000X Pharmacist (Licence: MD 23922) | |
| 183500000X Pharmacist (Licence: GA 023693) | |
| 183500000X Pharmacist (Licence: MI 5302044430) | |
| 183500000X Pharmacist (Licence: AZ 016117) | |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2021-08-06 |