| NPI | 1568980936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S022819) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 246158) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2025-11-17 |