| NPI | 1659723807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0004955) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202218773) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2024-11-19 |