| NPI | 1134209505 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: SC 11605) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: SC 11605) |
| 183500000X Pharmacist (Licence: CO 17103) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: SC 11605) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-02-26 |