NPI | 1396295101 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MI 5302043678) |
Additional Taxonomies | 183500000X Pharmacist (Licence: MI 5302043678) |
Enumeration Date | 2016-10-05 |
Last Update Date | 2023-06-09 |