| NPI | 1710430293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s021985) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-0016634) |
| 183500000X Pharmacist (Licence: MI 5302045832) | |
| 183500000X Pharmacist (Licence: DE A1-0005027) | |
| 183500000X Pharmacist (Licence: OK 17227) | |
| 183500000X Pharmacist (Licence: TN 43970) | |
| 183500000X Pharmacist (Licence: MD 26139) | |
| 183500000X Pharmacist (Licence: KY 020121) | |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2020-08-03 |