| NPI | 1184088288 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: CO PHA.0020409) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |