| NPI | 1437747904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP454312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0005455) |
| 183500000X Pharmacist (Licence: MD 27148) | |
| 183500000X Pharmacist (Licence: AL 20451) | |
| Enumeration Date | 2021-01-09 |
| Last Update Date | 2021-01-09 |