| NPI | 1346484730 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 6476725-1701) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2011-06-06 |