| NPI | 1881051001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 34431) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 18426) |
| 183500000X Pharmacist (Licence: KY 17580) | |
| 183500000X Pharmacist (Licence: OK 15951) | |
| 183500000X Pharmacist (Licence: WV rp0009044) | |
| 183500000X Pharmacist (Licence: LA pst020936) | |
| 183500000X Pharmacist (Licence: AZ s021134) | |
| 183500000X Pharmacist (Licence: OR rph0014683) | |
| 183500000X Pharmacist (Licence: MA ph235744) | |
| 183500000X Pharmacist (Licence: NE 14805) | |
| 183500000X Pharmacist (Licence: MS t13854) | |
| 183500000X Pharmacist (Licence: TN 38962) | |
| 183500000X Pharmacist (Licence: MD 23819) | |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |