| NPI | 1427347046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0001610) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp028163l) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |