| NPI | 1497121750 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2015025663) |
| 183500000X Pharmacist (Licence: OK 19098) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2023-05-22 |