| NPI | 1508593401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: DC PH100003374) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MD 26277) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS53429) | |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2022-08-02 |