| NPI | 1407137417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-11777) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.019571) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |