NPI | 1457657207 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ME PR5502) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC 100000633) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH023747) | |
Enumeration Date | 2011-01-26 |
Last Update Date | 2011-01-26 |