| NPI | 1467099556 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.017298) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 42893) |
| 183500000X Pharmacist (Licence: KY 020552) | |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |