| NPI | 1659792711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0003639) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: DE A1-0003639) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: DE A1-0003639) | |
| Enumeration Date | 2013-12-16 |
| Last Update Date | 2013-12-16 |