| NPI | 1487106100 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: AK 128797) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS55783) |
| Enumeration Date | 2016-10-28 |
| Last Update Date | 2020-02-24 |