| NPI | 1902248404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835G0303X Pharmacist, Geriatric (Licence: PA RP443215) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: IL 051.300337) |
| 183500000X Pharmacist (Licence: IN 26027559A) | |
| 183500000X Pharmacist (Licence: VA 0202216128) | |
| 183500000X Pharmacist (Licence: MD 25105) | |
| 183500000X Pharmacist (Licence: FL PS57723) | |
| 183500000X Pharmacist (Licence: WI 19165-40) | |
| 183500000X Pharmacist (Licence: OH 03236808) | |
| 183500000X Pharmacist (Licence: IA 23152) | |
| 1835G0303X Pharmacist, Geriatric (Licence: NJ 28RI03901400) | |
| 1835G0303X Pharmacist, Geriatric (Licence: DE A1-0005175) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP443215) | |
| Enumeration Date | 2013-07-24 |
| Last Update Date | 2024-02-05 |