| NPI | 1477853521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: OR 8568) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OR RPH-8568) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2015-12-17 |