| NPI | 1407162449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MS T08172) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MS T08172) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2020-03-11 |