| NPI | 1588319107 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MO 2006002756) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 01483) |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |