| NPI | 1003097700 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 45508) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 45508) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2009-10-23 |