| NPI | 1154804664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP452891) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0005297) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2019-07-12 |