| NPI | 1598886335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AL 14492) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 20379) |
| 183500000X Pharmacist (Licence: TN 22976) | |
| 183500000X Pharmacist (Licence: AR PD10051) | |
| 183500000X Pharmacist (Licence: KY 013248) | |
| 183500000X Pharmacist (Licence: LA 017989) | |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |