| NPI | 1497327555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.023939) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AR PD15843) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-10-29 |