| NPI | 1033244082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC 50) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM 00006232) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2008-04-04 |