| NPI | 1649399296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 10011) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 12367) |
| 183500000X Pharmacist (Licence: KY 13200) | |
| 183500000X Pharmacist (Licence: FL PS39905) | |
| 183500000X Pharmacist (Licence: LA 17598) | |
| 183500000X Pharmacist (Licence: AZ 13393) | |
| 183500000X Pharmacist (Licence: MI 5302034259) | |
| 183500000X Pharmacist (Licence: AR PD09341) | |
| 183500000X Pharmacist (Licence: MS E-8250) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-08 |