| NPI | 1194096321 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP439402) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003868) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2017-10-05 |