NPI | 1447347356 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: UT 1480841701) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: UT 1480841701) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2007-07-08 |