| NPI | 1659237915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WI 23284-40) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 246401) |
| Enumeration Date | 2025-12-31 |
| Last Update Date | 2025-12-31 |