| NPI | 1003586033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-103889) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2021034107) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |