| NPI | 1831454313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-15086) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-15086) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2024-03-21 |