| NPI | 1477824761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: NM CP00000284) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NM RP00007744) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2023-10-12 |