| NPI | 1013512045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: ND RPh6005) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2017037466) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: IL 051.303339) | |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |