| NPI | 1982218020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202206727) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DC PH100000185) |
| 183500000X Pharmacist (Licence: MD 16781) | |
| 183500000X Pharmacist (Licence: TX 65945) | |
| 183500000X Pharmacist (Licence: MN 124591) | |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |