| NPI | 1609284439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 38150) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 62030) |
| 183500000X Pharmacist (Licence: PA RP452150) | |
| 183500000X Pharmacist (Licence: GA RPH027986) | |
| 183500000X Pharmacist (Licence: KY 019700) | |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2020-09-04 |