NPI | 1295729036 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA rph014686) |
Additional Taxonomies | 1835N1003X Pharmacist, Nutrition Support (Licence: GA rph014686) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: GA rph014686) | |
Enumeration Date | 2005-09-08 |
Last Update Date | 2007-07-08 |