NPI | 1184973737 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MS 010748) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 16642) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2020-03-11 |