| NPI | 1467404665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NV 16718) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: NV 16718) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-08-10 |