| NPI | 1295012904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR RPH11447) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 00011447) |
| 183500000X Pharmacist (Licence: MT 5684) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2016-03-01 |