| NPI | 1164546826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: SC 008738) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: SC 008738) |
| 1835N1003X Pharmacist, Nutrition Support (Licence: SC 008738) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 008738) | |
| 1835X0200X Pharmacist, Oncology (Licence: SC 008738) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |