NPI | 1548577083 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: TX 52203) |
Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 52203) |
1835P2201X Pharmacist, Ambulatory Care (Licence: TX 52203) | |
Enumeration Date | 2010-09-03 |
Last Update Date | 2022-12-07 |