NPI | 1194799361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA ph00042798) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 07605) |
Enumeration Date | 2006-02-15 |
Last Update Date | 2007-07-08 |