| NPI | 1063024479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S024901) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ I012827) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-11-09 |