| NPI | 1588034706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ S021705) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ I012038) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2021-05-28 |