| NPI | 1750076162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SD 6841) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IA 24326) |
| 183500000X Pharmacist (Licence: KS 1-116133) | |
| 183500000X Pharmacist (Licence: NE 17488) | |
| 183500000X Pharmacist (Licence: MN 125567) | |
| 183500000X Pharmacist (Licence: MS E-100570) | |
| 183500000X Pharmacist (Licence: MI 5302415172) | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-07-20 |