NPI | 1902174121 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: DE A1-0002912) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP044324T) |
Enumeration Date | 2011-12-02 |
Last Update Date | 2011-12-02 |