NPI | 1770226664 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 69138) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 30714) |
Enumeration Date | 2022-04-18 |
Last Update Date | 2022-04-19 |