| NPI | 1093128290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 22164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE a10004570) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |