| NPI | 1417382003 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 120161) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051295134) |
| 183500000X Pharmacist (Licence: WI 15571-40) | |
| 183500000X Pharmacist (Licence: MO 2013029805) | |
| 183500000X Pharmacist (Licence: KS 1-16039) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2019-04-18 |