| NPI | 1275850216 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP 441255) |
| Additional Taxonomies | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PA RP 441255) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: PA RP441255) | |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-05 |