| NPI | 1164211272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 224060) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AK 3163947) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-10-01 |