| NPI | 1609209931 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-16801) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AK 215969) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2023-10-21 |