| NPI | 1841026408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NV 24317) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S027261) |
| Enumeration Date | 2024-09-11 |
| Last Update Date | 2025-09-24 |