| NPI | 1538757901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: VA 0202220972) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NV 19930) |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2024-10-12 |