| NPI | 1245712843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPh-0016779) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 0016779) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-02-01 |