| NPI | 1275024226 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.022455) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD14175) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2021-04-17 |