| NPI | 1265673438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0002300) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP444511) |
| 183500000X Pharmacist (Licence: MD 27012) | |
| 183500000X Pharmacist (Licence: VA 0202009189) | |
| 183500000X Pharmacist (Licence: NC 07428) | |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2022-12-20 |