| NPI | 1548696669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 68504) |
| Additional Taxonomies | 1835P1300X Pharmacist, Psychiatric (Licence: TX 68504) |
| 183500000X Pharmacist (Licence: TX 68504) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: TX 68504) | |
| 1835P1400X (Licence: TX 68504) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 68504) | |
| 183500000X Pharmacist (Licence: MD 22162) | |
| 1835X0200X Pharmacist, Oncology (Licence: TX 68504) | |
| 1835I0206X Pharmacist, Infectious Diseases (Licence: TX 68504) | |
| 1835S0206X Pharmacist, Solid Organ Transplant (Licence: TX 68504) | |
| 1835G0303X Pharmacist, Geriatric (Licence: TX 68504) | |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2026-05-01 |