| NPI | 1245844836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0015530) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 27534) |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |