| NPI | 1356348668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM 131) |
| Additional Taxonomies | 1835P1200X Pharmacist, Pharmacotherapy (Licence: OK 11552) |
| 1835P1200X Pharmacist, Pharmacotherapy (Licence: NM 6731) | |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2008-04-02 |