| NPI | 1063782290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15623) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013008811) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2017-02-22 |