| NPI | 1871267120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024353) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TN 45578) |
| 183500000X Pharmacist (Licence: MS E-100208) | |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2022-10-30 |