| NPI | 1003334103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 0016074) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 16074) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2018-04-09 |