| NPI | 1952630196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ 9549) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 12242) |
| 183500000X Pharmacist (Licence: TN 32473) | |
| 183500000X Pharmacist (Licence: KY 14224) | |
| 183500000X Pharmacist (Licence: VA 0202208743) | |
| 183500000X Pharmacist (Licence: LA 18718) | |
| 183500000X Pharmacist (Licence: AR PD11042) | |
| 183500000X Pharmacist (Licence: OR RPH-0011870) | |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2009-12-17 |