| NPI | 1992217582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ID P7869) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH0016238) |
| 183500000X Pharmacist (Licence: AK 214888) | |
| 183500000X Pharmacist (Licence: WV RP0010180) | |
| 183500000X Pharmacist (Licence: WA PH60786953) | |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2024-02-26 |