| NPI | 1285013417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: MD 21875) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: VA 0202215642) |
| 183500000X Pharmacist (Licence: GA RPH027397) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 21875) | |
| 183500000X Pharmacist (Licence: DC PH100002730) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2021-09-24 |