| NPI | 1154760148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NM RP00007961) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS 50597) |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM PC00000218) | |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2013-09-17 |