| NPI | 1659642924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.017006) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS 09635) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2021-12-16 |