| NPI | 1326985052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS70085) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 247496) |
| Enumeration Date | 2026-04-30 |
| Last Update Date | 2026-04-30 |