| NPI | 1942960489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: LA PST.024890) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS E100311) |
| 183500000X Pharmacist (Licence: IN 26029254A) | |
| Enumeration Date | 2021-12-25 |
| Last Update Date | 2023-08-04 |