| NPI | 1093261307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: LA PST.022153) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 57575) |
| 183500000X Pharmacist (Licence: ID P7341) | |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2024-02-21 |