| NPI | 1689715369 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0001740) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp-0274990) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |