NPI | 1306229661 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: WI 17972-40) |
Additional Taxonomies | 183500000X Pharmacist (Licence: WI 17972-40) |
Enumeration Date | 2015-07-06 |
Last Update Date | 2022-06-15 |