| NPI | 1093484057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 21084) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S026109) |
| Enumeration Date | 2021-09-12 |
| Last Update Date | 2025-04-20 |