NPI | 1326030933 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 183500000X Pharmacist (Licence: GA RPH021872) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 40968) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2007-07-08 |