| NPI | 1881941177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP438838) |
| Additional Taxonomies | 1835G0303X Pharmacist, Geriatric (Licence: PA RP438838) |
| 1835N0905X Pharmacist, Nuclear (Licence: PA RP438838) | |
| 1835N1003X Pharmacist, Nutrition Support (Licence: PA RP438838) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP438838) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP438838) | |
| 1835P1300X Pharmacist, Psychiatric (Licence: PA RP438838) | |
| 1835X0200X Pharmacist, Oncology (Licence: PA RP438838) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |