| NPI | 1346328762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 118200-8) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: AK 806) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: CA 37266) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: AZ 7267) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |