NPI | 1356347330 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 11779) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NE 11779) |
1835P1300X Pharmacist, Psychiatric (Licence: NE 11779) | |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 44923) | |
Enumeration Date | 2005-06-23 |
Last Update Date | 2009-12-14 |