| NPI | 1255503397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 115459) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: WI 12486-040) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |