| NPI | 1912207705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: DE A1-0002209) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: PA RP031026L) |
| 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA 147172ML) | |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |