| NPI | 1922336148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 3551) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S016912) |
| Enumeration Date | 2009-11-29 |
| Last Update Date | 2021-12-14 |