NPI | 1285257022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: AK PH811) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
133NN1002X Nutritionist, Nutrition, Education | |
174H00000X Health Educator | |
1835N1003X Pharmacist, Nutrition Support (Licence: AK PH811) | |
207PH0002X Emergency Medicine, Hospice and Palliative Medicine (Licence: AK PH811) | |
208U00000X Clinical Pharmacology (Licence: AK PH811) | |
251E00000X Home Health | |
251F00000X Home Infusion | |
251G00000X Hospice Care, Community Based | |
302F00000X Exclusive Provider Organization | |
305S00000X Point of Service | |
332B00000X Durable Medical Equipment & Medical Supplies | |
332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
Enumeration Date | 2020-05-27 |
Last Update Date | 2020-05-27 |