| NPI | 1649517624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL 1649517624) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NY 061662) |
| 183500000X Pharmacist (Licence: FL PS42922) | |
| 183500000X Pharmacist (Licence: MD 24153) | |
| 183500000X Pharmacist (Licence: OH 03135483) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2024-06-05 |