| NPI | 1275075483 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-14661) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.021722) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |