| NPI | 1528056983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 7815) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 4434) |
| 183500000X Pharmacist (Licence: TN 33380) | |
| 183500000X Pharmacist (Licence: HI 2987) | |
| 183500000X Pharmacist (Licence: TX 48107) | |
| 183500000X Pharmacist (Licence: MS 10637) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2010-02-18 |