| NPI | 1215947866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 2314) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: TN 2314) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-10-25 |