| NPI | 1871596791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15401) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 043592) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-12-03 |