NPI | 1801078969 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 54845) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 48150) |
Enumeration Date | 2007-11-30 |
Last Update Date | 2012-08-15 |