| NPI | 1457674376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 115669) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ND RPh5210) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2024-05-09 |