| NPI | 1023399037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0003241) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP042578L) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2024-02-16 |