| NPI | 1972936268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: OK 15441) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AL 18469) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2025-03-27 |