| NPI | 1801235296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MI 5302035047) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MA PH233263) |
| 183500000X Pharmacist (Licence: CT PCT.0010920) | |
| 183500000X Pharmacist (Licence: FL PS 48693) | |
| 183500000X Pharmacist (Licence: NH R2312) | |
| 183500000X Pharmacist (Licence: OH RPH.03129908) | |
| 183500000X Pharmacist (Licence: NY 056653) | |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |