| NPI | 1407289986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16207) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013024735) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |