| NPI | 1831315647 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MN 1831315647) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MN 186089) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2021-01-28 |