| NPI | 1780775270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0003687) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 15078) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-03-09 |