| NPI | 1508145137 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VT 0330003411) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VT 033.0003411) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2021-02-12 |