| NPI | 1265572846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AZ 13855) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: AZ 13855) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: AZ 13855) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2010-06-02 |