| NPI | 1225628183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024482) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E-16594) |
| Enumeration Date | 2021-01-24 |
| Last Update Date | 2023-03-17 |