NPI | 1457692733 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH100000252) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 19566) |
Enumeration Date | 2013-03-11 |
Last Update Date | 2013-03-11 |