| NPI | 1629957071 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: DE A7-0012601) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A7-0012601) |
| Enumeration Date | 2025-08-29 |
| Last Update Date | 2025-08-29 |