| NPI | 1447289756 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: RI 04344) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MI 5302033493) |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: WI 13331040) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: MN 1170955) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |