| NPI | 1023290574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND 4867) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 117604-3) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2025-03-04 |