| NPI | 1912174145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS37543) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST021997) |
| 183500000X Pharmacist (Licence: OK R17255) | |
| 183500000X Pharmacist (Licence: MS T12787) | |
| 183500000X Pharmacist (Licence: GA RPH026805) | |
| 183500000X Pharmacist (Licence: OR RPH0013558) | |
| 183500000X Pharmacist (Licence: WV RP0009489) | |
| 183500000X Pharmacist (Licence: AL 18422) | |
| 183500000X Pharmacist (Licence: TN 35682) | |
| 183500000X Pharmacist (Licence: PR 04483) | |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2017-07-18 |