| NPI | 1013585934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK R-18951) |
| Additional Taxonomies | 1835I0206X Pharmacist, Infectious Diseases (Licence: OK R-18951) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2026-04-20 |