| NPI | 1629678081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-010388) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.018496) |
| 183500000X Pharmacist (Licence: MS E010388) | |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |