| NPI | 1932402534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: DE A10002643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A10002645) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2022-04-06 |