| NPI | 1508447046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP036087L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0002996) |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |