| NPI | 1306510631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202222194) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0203020178) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2024-08-12 |