| NPI | 1477865038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: UT 6121857-1701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: ID P6410) |
| 183500000X Pharmacist (Licence: UT 6121857-1701) | |
| 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: ID p6410) | |
| Enumeration Date | 2010-07-11 |
| Last Update Date | 2020-01-15 |