| NPI | 1487880845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1835P0018X Pharmacist Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: MD 11042) |
| Additional Taxonomies | 1835P1200X Pharmacist Pharmacotherapy (Licence: MD 297391) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2009-05-29 |