| NPI | 1437540259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 3-13144) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2013015649) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-16 |