| NPI | 1356727317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 36270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 23213) |
| 183500000X Pharmacist (Licence: OH 03443188) | |
| 183500000X Pharmacist (Licence: FL PS65682) | |
| 183500000X Pharmacist (Licence: NC 30921) | |
| 183500000X Pharmacist (Licence: IL 051.305771) | |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2024-01-17 |