| NPI | 1336137017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP031185L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A10002778) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2023-03-07 |