| NPI | 1265725386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 5040189-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: UT 5040189-1701) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2015-11-23 |