| NPI | 1699366583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 18827) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NE 16940) |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |