| NPI | 1699258491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: AZ s023529) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AS s023529) |
| Enumeration Date | 2018-09-08 |
| Last Update Date | 2018-09-08 |