NPI | 1710252457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WI 15726-040) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 15726-040) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2013-02-16 |