| NPI | 1013523760 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: KS 1-13640) |
| Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: KS 1-13640) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-13640) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: KS 1-13640) | |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |