NPI | 1811990989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 57710) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: VA 0202206302) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2010-10-14 |