| NPI | 1346273356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 12434) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002009963) |
| 183500000X Pharmacist (Licence: OK 11513) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-10-31 |