| NPI | 1457402349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 11746) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2000156307) |
| 183500000X Pharmacist (Licence: TX 34526) | |
| 183500000X Pharmacist (Licence: KS 1-14424) | |
| 183500000X Pharmacist (Licence: AR PD 10757) | |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2015-10-07 |