NPI | 1184608234 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 29391) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 29391) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 29391) | |
1835P1300X Pharmacist, Psychiatric (Licence: TX 29391) | |
1835G0303X Pharmacist, Geriatric (Licence: TX 29391) | |
1835N1003X Pharmacist, Nutrition Support (Licence: TX 29391) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2012-02-08 |