| NPI | 1033782941 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12618) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 12618) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |