NPI | 1306999339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: TX 28323) |
Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: TX 28323) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 28323) | |
1835X0200X Pharmacist, Oncology (Licence: TX 28323) | |
Enumeration Date | 2007-01-21 |
Last Update Date | 2023-12-13 |