NPI | 1376037325 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: IL 051.295831) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: IL 051.295831) |
Enumeration Date | 2018-06-21 |
Last Update Date | 2018-06-21 |