| NPI | 1124228283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA pst.014380) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 14380) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2022-12-20 |