| NPI | 1528441979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH017924) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 202215095) |
| 183500000X Pharmacist (Licence: AL 18172) | |
| 183500000X Pharmacist (Licence: NE 15444) | |
| 183500000X Pharmacist (Licence: OK 16979) | |
| 183500000X Pharmacist (Licence: MI 5302044860) | |
| 183500000X Pharmacist (Licence: TX 59326) | |
| 183500000X Pharmacist (Licence: WV RP0009700) | |
| 183500000X Pharmacist (Licence: MS T14582) | |
| 183500000X Pharmacist (Licence: AR PD13776) | |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2016-11-03 |