| NPI | 1326413667 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-17093) |
| Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: KS 1-17093) |
| Enumeration Date | 2015-12-12 |
| Last Update Date | 2022-11-30 |