| 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 |