| NPI | 1851044499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.022454) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017025909) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |