| NPI | 1497226781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 43034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 18937-40) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2025-07-15 |