| NPI | 1245065226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 68736) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 3168724) |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2024-09-07 |