| NPI | 1215537782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 17997) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 65507) |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2023-10-06 |