| NPI | 1447869805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-106805) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2018025515) |
| 183500000X Pharmacist (Licence: VA 0202221616) | |
| 183500000X Pharmacist (Licence: WV RP0013890) | |
| 183500000X Pharmacist (Licence: TN 47669) | |
| 183500000X Pharmacist (Licence: NV 22560) | |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2023-10-18 |