| NPI | 1477211100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S025444) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 20930) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |