NPI | 1790767671 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: WA PH60086614) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO 16474) |
Enumeration Date | 2005-11-16 |
Last Update Date | 2014-02-27 |