| NPI | 1902381197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 5533) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051-038721) |
| 183500000X Pharmacist (Licence: MO 2009000321) | |
| 183500000X Pharmacist (Licence: TN 4833) | |
| 183500000X Pharmacist (Licence: AR PD-10892) | |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |