| NPI | 1821302084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA rp045105l) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE a1-0003090) |
| Enumeration Date | 2010-07-29 |
| Last Update Date | 2010-07-29 |