NPI | 1609478445 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 56974) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 56974) |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |