| NPI | 1215046248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: LA 11216) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: LA 11216) |
| 183500000X Pharmacist (Licence: TX 25206) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TX 25206) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-06-08 |