NPI | 1700119906 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM RP00007307) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007307) |
Enumeration Date | 2009-09-08 |
Last Update Date | 2016-10-27 |