| NPI | 1285916171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA pst.025576) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2007023350) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2024-12-24 |