| NPI | 1437910528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 213484) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 6360) |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |