| NPI | 1437337607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0001842) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 31553) |
| 183500000X Pharmacist (Licence: PA RP029999L) | |
| Enumeration Date | 2008-02-09 |
| Last Update Date | 2008-02-09 |