| NPI | 1083027817 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 13712) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD9270) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2025-01-13 |