| NPI | 1831328160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19849) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03335098) |
| 183500000X Pharmacist (Licence: LA PST.023343) | |
| 183500000X Pharmacist (Licence: SC 37448) | |
| 183500000X Pharmacist (Licence: VA 0202218417) | |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2022-07-23 |