| NPI | 1548493455 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14645) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CO PHA.0019380) |
| 183500000X Pharmacist (Licence: MN 120752) | |
| 183500000X Pharmacist (Licence: MO 2010034682) | |
| 183500000X Pharmacist (Licence: OR RPH-0011852) | |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2022-07-01 |