NPI | 1275721128 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MT 3980) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AK 1733) |
Enumeration Date | 2007-10-04 |
Last Update Date | 2016-11-04 |