| NPI | 1346890787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S024284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ SO24284) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2024-05-01 |