| NPI | 1154519304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P2201X Pharmacist, Ambulatory Care (Licence: KS 1-14148) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-14148) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KS 1-14148) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-14148) | |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2020-12-01 |