| NPI | 1265762322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S014201) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S012401) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2024-02-12 |