NPI | 1356378608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NE 11758) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IA 19656) |
Enumeration Date | 2006-06-26 |
Last Update Date | 2022-03-10 |