| NPI | 1407662000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024034) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 44295) |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2024-12-09 |