| NPI | 1184813081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NE 9596Pharmacist) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 9596) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2026-02-11 |