| NPI | 1306129499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 00008653) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR 8653) |
| Enumeration Date | 2011-09-24 |
| Last Update Date | 2016-01-03 |