NPI | 1639442858 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: UT 6450026-1701) |
Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: UT 6450026-8911) |
Enumeration Date | 2012-02-18 |
Last Update Date | 2012-02-18 |