| NPI | 1518561133 |
|---|---|
| Other Name | BO EMANUEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 44210) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: GA 032131) |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2022-05-06 |