| NPI | 1306876982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021780) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MT 3919) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2024-04-10 |