NPI | 1487678173 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: PR 5106) |
Additional Taxonomies | 183500000X Pharmacist (Licence: PR 5106) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2016-12-13 |