| NPI | 1235308016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH3215) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 11891) |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |