| NPI | 1366831919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0004517) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP448396) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2024-01-27 |