| NPI | 1578844817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR5978) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 13519) |
| 183500000X Pharmacist (Licence: NH R2226) | |
| 183500000X Pharmacist (Licence: PA RP046449R) | |
| 183500000X Pharmacist (Licence: DE A10002793) | |
| 183500000X Pharmacist (Licence: IL 051.294479) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RPI1001735) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |