NPI | 1932390713 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: CA 53932) |
Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OK 13099) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |