| NPI | 1942972013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 28115) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: DE A1-0015685) |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2022-05-27 |