NPI | 1194250688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-12971) |
Additional Taxonomies | 1835N0905X Pharmacist, Nuclear (Licence: KS 1-12971) |
1835P2201X Pharmacist, Ambulatory Care (Licence: KS 1-12971) | |
Enumeration Date | 2017-04-22 |
Last Update Date | 2017-04-22 |