| NPI | 1073082319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CT PCT.0014431) |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |