NPI | 1831513654 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: GA RPH027173) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 22680) |
Enumeration Date | 2014-02-13 |
Last Update Date | 2020-05-04 |