NPI | 1205027455 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: NC 18856) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NC 0070-00231) |
Enumeration Date | 2007-08-05 |
Last Update Date | 2012-11-13 |