NPI | 1306875794 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ID P3985) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: UT 153262-1701) |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-07-08 |