NPI | 1013382324 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 53151) |
Additional Taxonomies | 1835P2201X Pharmacist, Ambulatory Care (Licence: TX 53151) |
Enumeration Date | 2015-12-11 |
Last Update Date | 2017-05-03 |