NPI | 1235476342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 41421) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 41421) |
Enumeration Date | 2013-01-09 |
Last Update Date | 2013-01-09 |