NPI | 1871993972 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: MS 13522) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: AR 12853) |
Enumeration Date | 2014-08-26 |
Last Update Date | 2020-07-24 |