| NPI | 1235431495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: VA 0202212968) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: GA PHI-015156) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002227) | |
| Enumeration Date | 2010-11-21 |
| Last Update Date | 2022-10-19 |