| NPI | 1780895490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 2-09997) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 2-09997) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2019-12-20 |