| NPI | 1861887341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP448018) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0004506) |
| 183500000X Pharmacist (Licence: MD 23995) | |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2020-11-30 |