NPI | 1710169685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MN 117011) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: ND 4749) |
Enumeration Date | 2007-12-03 |
Last Update Date | 2007-12-04 |