| NPI | 1346721958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP442213) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA RPH016775) |
| 183500000X Pharmacist (Licence: OH 03236612) | |
| 183500000X Pharmacist (Licence: NC 08746) | |
| 183500000X Pharmacist (Licence: MD 18108) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2018-08-22 |