NPI | 1033701818 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OR 8294) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 44312) |
Enumeration Date | 2021-02-03 |
Last Update Date | 2021-02-03 |