| NPI | 1467057851 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 43328) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SD R-6719) |
| 183500000X Pharmacist (Licence: NM RP00009131) | |
| 183500000X Pharmacist (Licence: AZ S024309) | |
| 183500000X Pharmacist (Licence: MT PHA-PHA-LIC-63090) | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |