| NPI | 1134875479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202220158) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: CT PTP.0000591) |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |