| NPI | 1528343308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 24715) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2010023009) |
| 183500000X Pharmacist (Licence: IL 051.294187) | |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2023-07-03 |