| NPI | 1235782046 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 9490795-1702) |
| Enumeration Date | 2019-07-20 |
| Last Update Date | 2019-07-20 |