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 |