| NPI | 1841738994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CO PHA.0018286) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MA 16629) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |