| NPI | 1538694948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 18861) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP449041) |
| 183500000X Pharmacist (Licence: FL PS54925) | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2023-08-31 |