| NPI | 1083229868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CO 9163) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK 14904) |
| 183500000X Pharmacist (Licence: CO 9153) | |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |