| NPI | 1629674726 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 16270) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR 13230) |
| Enumeration Date | 2020-12-05 |
| Last Update Date | 2020-12-05 |