| NPI | 1295927689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0002245) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MD 12675) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-10 |