NPI | 1831679133 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MO 2018031225) |
Additional Taxonomies | 183500000X Pharmacist (Licence: KS 1-15241) |
183500000X Pharmacist (Licence: UT 6310785-1701) | |
183500000X Pharmacist (Licence: NC 21803) | |
1835P1200X Pharmacist, Pharmacotherapy (Licence: NC 3122077) | |
Enumeration Date | 2018-08-16 |
Last Update Date | 2020-05-21 |