| NPI | 1821121252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TN 5967) |
| Additional Taxonomies | 1835N0905X Pharmacist Nuclear (Licence: TN 5967) |
| 1835N1003X Pharmacist Nutrition Support (Licence: TN 5967) | |
| 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 5967) | |
| 1835P1300X Pharmacist Psychiatric (Licence: TN 5967) | |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2007-07-08 |