| NPI | 1801172754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a1-0001856) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE DE0001856) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2023-01-20 |