| NPI | 1235448457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S017585) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CA 90588) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2025-09-18 |