NPI | 1821420100 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH019148) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: FL PS16182) |
1835P1200X Pharmacist, Pharmacotherapy (Licence: AL 9548) | |
Enumeration Date | 2013-08-08 |
Last Update Date | 2013-08-08 |