| NPI | 1912185570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP036959L) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0003007) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2013-11-18 |