| NPI | 1003170242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MO 2009030884) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2009030884) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2016-11-30 |