| NPI | 1083225783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 18491) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS60927) |
| 183500000X Pharmacist (Licence: VA 0202218855) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |