| NPI | 1801482021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP437170) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0004407) |
| Enumeration Date | 2020-12-13 |
| Last Update Date | 2020-12-13 |