| NPI | 1851778989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MS E-13587) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA PST.024270) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2022-05-28 |