| NPI | 1518451186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.022649) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PNT.047532) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-12-07 |