| NPI | 1376824102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.010311) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA MA.001425) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |