| NPI | 1588137368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 7381) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 36116) |
| 183500000X Pharmacist (Licence: HI PH3003) | |
| 183500000X Pharmacist (Licence: ID P4069) | |
| 183500000X Pharmacist (Licence: UT 144479-1701) | |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |