NPI | 1770860025 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-10654) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-10654) |
Enumeration Date | 2011-11-14 |
Last Update Date | 2011-11-14 |