| NPI | 1922086156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 57164) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 20004014854) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: TX 54070) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: ND 5631) | |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: KS 1-15498) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: CA 57164) | |
| 1835P2201X Pharmacist, Ambulatory Care (Licence: FL 53639) | |
| 183500000X Pharmacist (Licence: NE 15995) | |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2018-12-15 |