NPI | 1376092163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 001333) |
Additional Taxonomies | 183500000X Pharmacist (Licence: OR rph-001333) |
Enumeration Date | 2016-09-22 |
Last Update Date | 2016-10-13 |