| NPI | 1245083450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S0262982) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.024092) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-07-31 |