| NPI | 1144781881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-14423) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OK R-14233) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2019-03-26 |