| NPI | 1225336340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ S024606) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S024606) |
| 183500000X Pharmacist (Licence: NM RP00007947) | |
| 183500000X Pharmacist (Licence: NC 22354) | |
| 183500000X Pharmacist (Licence: TX 49391) | |
| 183500000X Pharmacist (Licence: MI 5302039131) | |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2021-12-22 |