| NPI | 1427451467 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 37905) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 26637) |
| 183500000X Pharmacist (Licence: AL 17361) | |
| 183500000X Pharmacist (Licence: GA RPH028708) | |
| 183500000X Pharmacist (Licence: TX 74752) | |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2025-01-05 |