NPI | 1730326554 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302040804) |
Additional Taxonomies | 183500000X Pharmacist (Licence: NJ 28ri03149400) |
183500000X Pharmacist (Licence: MI 5302040804) | |
Enumeration Date | 2009-01-15 |
Last Update Date | 2024-07-25 |