| NPI | 1003932617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 16495) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 51287346) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |