| NPI | 1578193744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 16320) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 17697) |
| 183500000X Pharmacist (Licence: KS 1-106313) | |
| 183500000X Pharmacist (Licence: LA PST.021720) | |
| 183500000X Pharmacist (Licence: MA PH236166) | |
| 183500000X Pharmacist (Licence: MI 5302043341) | |
| 183500000X Pharmacist (Licence: MD 23906) | |
| 183500000X Pharmacist (Licence: MS T-15141) | |
| 183500000X Pharmacist (Licence: NE 14885) | |
| 183500000X Pharmacist (Licence: OK 16880) | |
| 183500000X Pharmacist (Licence: TX 59136) | |
| 183500000X Pharmacist (Licence: VT 033.0130667) | |
| 183500000X Pharmacist (Licence: WV RP0008529) | |
| Enumeration Date | 2020-01-16 |
| Last Update Date | 2020-01-18 |