NPI | 1063877611 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835N1003X Pharmacist, Nutrition Support (Licence: IL 051032369) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051032369) |
Enumeration Date | 2015-12-28 |
Last Update Date | 2015-12-28 |