| NPI | 1932744034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 12883) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OK 3152956) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2019-11-12 |