| NPI | 1801372032 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ME PR4489) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202009164) |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-07-11 |