| NPI | 1770088775 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AK 128816) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK R-17763) |
| Enumeration Date | 2018-03-29 |
| Last Update Date | 2021-12-08 |