| NPI | 1881975589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE a10002099) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA rp034081l) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |