| NPI | 1427159151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 16618) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 042231) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AR PN03754) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-08-30 |