| NPI | 1326636713 |
|---|---|
| Professional Name | NA NA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: FL PS23318) |
| Enumeration Date | 2021-01-02 |
| Last Update Date | 2021-01-02 |