| NPI | 1508476136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 124898) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: MN 124898) |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2025-01-30 |