| NPI | 1881920197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MT 5855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003584) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2009-10-20 |