NPI | 1922329440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist Pharmacotherapy (Licence: FL PS23710) |
Additional Taxonomies | 1835G0303X Pharmacist Geriatric (Licence: FL PU4479) |
Enumeration Date | 2010-06-18 |
Last Update Date | 2010-06-18 |