| NPI | 1598376360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-13581) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.021009) |
| 183500000X Pharmacist (Licence: TN 42731) | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |