NPI | 1750720884 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 48802) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TX 48802) |
Enumeration Date | 2013-06-21 |
Last Update Date | 2024-08-28 |