| NPI | 1356781991 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S026893) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 14168) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2024-09-20 |